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Chen L, Wang X, Wang S, Zhao X, Yan Y, Yuan M, Sun S. Development of a non-contrast CT-based radiomics nomogram for early prediction of delayed cerebral ischemia in aneurysmal subarachnoid hemorrhage. BMC Med Imaging 2025; 25:182. [PMID: 40410679 PMCID: PMC12102826 DOI: 10.1186/s12880-025-01722-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2025] [Accepted: 05/11/2025] [Indexed: 05/25/2025] Open
Abstract
BACKGROUNDS Delayed cerebral ischemia (DCI) is a significant complication following aneurysmal subarachnoid hemorrhage (aSAH), leading to poor prognosis and high mortality. This study developed a non-contrast CT (NCCT)-based radiomics nomogram for early DCI prediction in aSAH patients. METHODS Three hundred seventy-seven aSAH patients were included in this retrospective study. Radiomic features from the baseline CTs were extracted using PyRadiomics. Feature selection was conducted using t-tests, Pearson correlation, and Lasso regression to identify those features most closely associated with DCI. Multivariable logistic regression was used to identify independent clinical and demographic risk factors. Eight machine learning algorithms were applied to construct radiomics-only and radiomics-clinical fusion nomogram models. RESULTS The nomogram integrated the radscore and three clinically significant parameters (aneurysm and aneurysm treatment and admission Hunt-Hess score), with the Support Vector Machine model yielding the highest performance in the validation set. The radiomics model and nomogram produced AUCs of 0.696 (95% CI: 0.578-0.815) and 0.831 (95% CI: 0.739-0.923), respectively. The nomogram achieved an accuracy of 0.775, a sensitivity of 0.750, a specificity of 0.795, and an F1 score of 0.750. CONCLUSION The NCCT-based radiomics nomogram demonstrated high predictive performance for DCI in aSAH patients, providing a valuable tool for early DCI identification and formulating appropriate treatment strategies. CLINICAL TRIAL NUMBER Not applicable.
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Affiliation(s)
- Lingxu Chen
- Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, No.119, South Fourth Ring West Road, Fengtai District, Beijing, 100070, P.R. China
| | - Xiaochen Wang
- Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, No.119, South Fourth Ring West Road, Fengtai District, Beijing, 100070, P.R. China
| | - Sihui Wang
- Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, No.119, South Fourth Ring West Road, Fengtai District, Beijing, 100070, P.R. China
| | - Xuening Zhao
- Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, No.119, South Fourth Ring West Road, Fengtai District, Beijing, 100070, P.R. China
| | - Ying Yan
- Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, No.119, South Fourth Ring West Road, Fengtai District, Beijing, 100070, P.R. China
| | - Mengyuan Yuan
- Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, No.119, South Fourth Ring West Road, Fengtai District, Beijing, 100070, P.R. China
| | - Shengjun Sun
- Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, No.119, South Fourth Ring West Road, Fengtai District, Beijing, 100070, P.R. China.
- Department of Radiology, Beijing Neurosurgical Institute, No.119, South Fourth Ring West Road, Fengtai District, Beijing, 100070, P.R. China.
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Kharya S, Soni S, Pati A, Panigrahi A, Giri J, Qin H, Mallik S, Nayak DSK, Swarnkar T. Weighted Bayesian Belief Network for diabetics: a predictive model. Front Artif Intell 2024; 7:1357121. [PMID: 38665371 PMCID: PMC11043522 DOI: 10.3389/frai.2024.1357121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Accepted: 03/27/2024] [Indexed: 04/28/2024] Open
Abstract
Diabetes is an enduring metabolic condition identified by heightened blood sugar levels stemming from insufficient production of insulin or ineffective utilization of insulin within the body. India is commonly labeled as the "diabetes capital of the world" owing to the widespread prevalence of this condition. To the best of the authors' last knowledge updated on September 2021, approximately 77 million adults in India were reported to be affected by diabetes, reported by the International Diabetes Federation. Owing to the concealed early symptoms, numerous diabetic patients go undiagnosed, leading to delayed treatment. While Computational Intelligence approaches have been utilized to improve the prediction rate, a significant portion of these methods lacks interpretability, primarily due to their inherent black box nature. Rule extraction is frequently utilized to elucidate the opaque nature inherent in machine learning algorithms. Moreover, to resolve the black box nature, a method for extracting strong rules based on Weighted Bayesian Association Rule Mining is used so that the extracted rules to diagnose any disease such as diabetes can be very transparent and easily analyzed by the clinical experts, enhancing the interpretability. The WBBN model is constructed utilizing the UCI machine learning repository, demonstrating a performance accuracy of 95.8%.
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Affiliation(s)
- Shweta Kharya
- Department of Computer Science and Engineering, Bhilai Institute of Technology, Durg, Chhattisgarh, India
| | - Sunita Soni
- Department of Computer Science and Engineering, Bhilai Institute of Technology, Durg, Chhattisgarh, India
| | - Abhilash Pati
- Department of Computer Science and Engineering, Siksha ‘O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Amrutanshu Panigrahi
- Department of Computer Science and Engineering, Siksha ‘O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Jayant Giri
- Department of Mechanical Engineering, Yeshwantrao Chavan College of Engineering, Nagpur, India
| | - Hong Qin
- Department of Computer Science and Engineering, University of Tennessee at Chattanooga, Chattanooga, TN, United States
| | - Saurav Mallik
- Department of Environmental Health, Harvard T H Chan School of Public Health, Boston, MA, United States
| | - Debasish Swapnesh Kumar Nayak
- Department of Computer Science and Engineering, Siksha ‘O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Tripti Swarnkar
- Department of Computer Science and Engineering, Siksha ‘O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
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Study on the Effect of Straw Mulching on Farmland Soil Water. JOURNAL OF ENVIRONMENTAL AND PUBLIC HEALTH 2022; 2022:3101880. [PMID: 36213046 PMCID: PMC9536928 DOI: 10.1155/2022/3101880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Revised: 08/16/2022] [Accepted: 09/06/2022] [Indexed: 12/03/2022]
Abstract
Straw mulching farming is currently an effective dry farming technique for improving arid soil environments. Straw mulching technology can increase the infiltration capacity of soil water and improve crop yield and water use efficiency. In this study, the aim is to improve the soil water holding capacity, water retaining capacity, and comprehensive water use efficiency of crops in dry farmland. First, the response surface model is used to study and analyse the optimal parameters of straw returning and its mulching technology, and then, the crop yield, water consumption, and comprehensive water use efficiency of spring corn under different mulching conditions during 2017-2019 are studied. The test results show that the optimized parameters obtained by the response surface model are as follows: film thickness is 0.03 mm, straw returning amount is 4500 kg/hm2, straw particle size is 5 mm, and straw returning depth is 25 mm. At this time, the maximum soil water storage can reach 404.50 mm. The results of the straw mulching test show that under 4500 kg/hm2 mulching, the soil has more water storage, higher soil water content, and a simultaneous increase in water consumption, which is conducive to the efficient use of limited precipitation by crops. The field experiment for three years shows that 4500 kg/hm2 straw (wheat) mulching in the dry farming area of southern Ningxia can better store water and protect soil moisture, promote the virtuous cycle of farmland soil water, and show outstanding performance in improving corn yield and water use efficiency, which can be popularized and implemented in spring corn production in this area.
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